Alexander Kalmanovich, D.D.S., INC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59717 Issued in CA

Practice address

380 Glenneyre St Ste E
Laguna Beach, CA 92651-2303

Phone

(949) 494-7522

NPI assigned

Jan 11, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kalmanovich Dental Corp

  • General Practice Dentistry
  • Laguna Beach, CA
  • NPI 1841950573
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1780989459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 PETIT AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361133",
            "telephone_number": "818-730-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 GLENNEYRE ST STE E",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512303",
            "telephone_number": "949-494-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMANOVICH",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S., INC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59717",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna L Jones
• Korey Stephen Jorgensen, M.D.
• Mark Andrew Judy, D.M.D.
• Kaitlyn Kuo and Associates Psychology Corp
• Kalmanovich Dental Corp
• Christopher Young Kang, M.D.
• Martin H Karasch, M.D.
• Janice Ellen Karelius, N.P.
• Karim Abdollahi M D Inc a Medical Corporation
• Yelena Kashtuyeva

• General Practice Dentistry in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.